- Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
- Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
- Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
- Knowledge of the health and wellness marketplace and employer trends.
- Verbal and written communication skills, including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
- Analytical experience, including medical data analysis.
- Current IL driver's license, transportation and applicable insurance. (for IL)
- Ability and willingness to travel within assigned territory.
- PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
- 3 years clinical experience.
- Patient education experience.
- Condition Management experience.
- Bilingual in English and Spanish.
- Transition of Care experience.
- Experience in managing complex or catastrophic cases.
- Certification in Case Management, Training, Project Management or nationally recognized health care certification.
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Walmart , MO, United StatesIt's a great time to join our growing Facility Services Team with Walmart - we are hiring HVAC Refrigeration Specialists in a variety of areas across the state of Missouri and offering a robust relocation package for those that qualify. Whether you are interested in openings near ...
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Northwestern Medicine , IL, United States Full timeBenefits · * $10,000 Tuition Reimbursement per year ($5,700 part-time) · * $10,000 Student Loan Repayment ($5,000 part-time) · * $1,000 Professional Development per year ($500 part-time) · * $250 Wellbeing Fund per year($125 for part-time) · * Matching 401(k) · * Excellent medica ...
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Regional Sales Specialist
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Guerbet , IL, United StatesGuerbet is a human-scale company that aims to become a new global leader in medical imaging. · Pioneer in contrast media with 90 years' experience, Guerbet is the only pharmaceutical group dedicated to medical imaging worldwide, with a presence in almost 80 countries via a netwo ...
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Surgical Care Affiliates , IL, United StatesOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and healt ...
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registered nurse operating room
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Northwestern Medicine , IL, United States· Northwestern Medicine has an exciting opportunity for either a Nurse Practitioner or a Physician Assistant to work in our inpatient only Hospital Medicine department. · Hospital medicine is a fast-growing medical specialty, comprised of physicians and APPs whose primary role i ...
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emt or paramedic or lpn or rn
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Biomat USA, Inc. , MO, United StatesWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the worl ...
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community support specialist
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Compass Health Network , MO, United StatesDue to critical service need of the communities we serve, we are offering a $1500 sign-on bonus.* Additional $500 sign-on bonus for Qualified Mental Health Professionals. We are eager to continue to provide quality and compassionate care in our service areas and need you to make ...
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emtb
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rn - family practice
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UnityPoint Health , IL, United StatesOverview · $5,000 sign on bonus for external candidates · UnityPoint Clinics · RN · Family Medicine SouthPark Pointe · Moline, IL · To provide high quality professional nursing care as a member of the health care team to the patient population served by the office. · Why UnityPoi ...
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emt or paramedic or lpn or rn
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GRIFOLS, S.A. , MO, United StatesWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the worl ...
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emt or lpn or rn
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Biomat USA, Inc. , MO, United StatesWould you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the worl ...
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registered nurse
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Alden Poplar Creek Rehabilitation and Health Care Center , IL, United StatesAlden Poplar Creek Rehabilitation and Health Care Center - Alden Poplar Creek Rehabilitation and Healthcare facilty is looking for RN's to join our team · We offer great and competitve wages · We celebrate those employees who make a difference We have part-time and full-time posi ...
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Trinity Health , IL, United States**Employment Type:** · Full time · **Shift:** · Day Shift · **Description:** · Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. · **Position will be responsible for Gottlieb Memorial Hospital, Loyola University Medical Center, and Mac ...
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Mercy Health System , IL, United StatesOverview · * Patient Access Specialist, Days, 80 Hrs / 2 wks · * Location: Rockton Ave Campus; Rockford, IL. Hybrid schedule opportunities available after probationary period. · Responsible for correctly prioritizing and completing all steps of the scheduling, referral management ...
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Medical Management Specialist - , IL, United States - Innovative Systems Group
Description
Seeking candidates in the
Rock Island area.
90%-95% remote with some visits to customer homes at least 1-2 times per week or depending on business needs.
40 hrs per week. Typical schedule is M-F, 8:00-4:30 CST with 30-min lunch break.
Contract: 6 months to 1 year
Contract-to-hire
JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. The responsibilities include gathering, analyzing and providing data for regulatory reports. Additionally, the individual in this position will act as the company's representative to its members.
JOB QUALIFICATIONS:
PREFERRED JOB QUALIFICATIONS:
